Evidence map›Paper›PMID 36704470›Full record

SynthesisFrontiers in cardiovascular medicine2022

Conscious sedation/monitored anesthesia care versus general anesthesia in patients undergoing transcatheter aortic valve replacement: A meta-analysis.

Kuo-Chuan Hung, Jen-Yin Chen, Chung-Hsi Hsing, Chin-Chen Chu, Yao-Tsung Lin, Yu-Li Pang, I-Chia Teng, I-Wen Chen, Cheuk-Kwan Sun

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in cardiovascular medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Same-Day Discharge After Transcatheter Aortic Valve Implantation: Who, When, and How?Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    Review
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  9. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Kuo-Chuan HungSchool of Medicine, College of Medicine, National Sun Yat-sen University, Kaohsiung City, Taiwan.
Jen-Yin ChenDepartment of Anesthesiology, Chi Mei Medical Center, Tainan City, Taiwan.
Chung-Hsi HsingDepartment of Anesthesiology, Chi Mei Medical Center, Tainan City, Taiwan.
Chin-Chen ChuDepartment of Anesthesiology, Chi Mei Medical Center, Tainan City, Taiwan.
Yao-Tsung LinDepartment of Anesthesiology, Chi Mei Medical Center, Tainan City, Taiwan.
Yu-Li PangDepartment of Anesthesiology, Chi Mei Medical Center, Tainan City, Taiwan.
I-Chia TengDepartment of Anesthesiology, Chi Mei Medical Center, Tainan City, Taiwan.
I-Wen ChenDepartment of Anesthesiology, Chi Mei Medical Center, Liouying, Tainan City, Taiwan.
Cheuk-Kwan SunDepartment of Emergency Medicine, E-Da Hospital, Kaohsiung City, Taiwan.
Chi Mei Medical Center · TWI-Shou University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To compare the merits and safety between conscious sedation/monitored anesthesia (CS/MAC) and general anesthesia (GA) for patients receiving transcatheter aortic valve replacement (TAVR). Measurements: Databases including EMBASE, MEDLINE, and the Cochrane Library databases were searched from inception to October 2022 to identify studies investigating the impact of CS/MAC on peri-procedural and prognostic outcomes compared to those with GA. The primary outcome was the association of CS/MAC with the risk of 30-day mortality, while secondary outcomes included the risks of adverse peri-procedural (e.g., vasopressor/inotropic support) and post-procedural (e.g., stroke) outcomes. Subgroup analysis was performed based on study design [i.e., cohort vs. matched cohort/randomized controlled trials (RCTs)]. Main results: Twenty-four studies (observational studies, Conclusion: Compared with GA, our results demonstrated that the use of CS/MAC may be feasible and safe in patients receiving TAVR. However, more evidence is needed to support our findings because of our inclusion of mostly retrospective studies. Systematic review registration: https://www.crd.york.ac.uk/prospero/, identifier CRD42022367417.

Indexed as

aortic stenosisconscious sedationmeta-analysismonitored anesthesia careprognostic outcomestranscatheter aortic valve replacement

Identifiers

PMID36704470
PMCPMC9872395
OpenAlexW4315433026

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.